Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:

Tuesday, June 20, 2017

Is Mirror Therapy an Effective Adjunct to Traditional Inpatient Care for Treating Upper Limb Hemiparesis and Spasticity In Individuals Post Stroke? A Meta-Analysis

Why the fuck is a meta-analysis needed? No one keeps up with research in your field? No publicly available database of research and protocols? Laziness? Stupidity? Waiting for SOMEONE ELSE TO SOLVE THE PROBLEM? I have 37 posts on mirror therapy going back to 2012. Proof we have NO strategy and NO leadership. Wasting money and time again.
The purpose of this meta-analysis is to examine the effectiveness of mirror therapy as an adjunct to a traditional inpatient care for treating upper limb hemiparesis and spasticity in individuals post stroke.
Studies examined the application of mirror therapy as an adjunct to traditional inpatient care provided for individuals post-stroke. These studies were performed in similar treatment settings and reported on Fugl-Meyer Upper
Extremity Assessment (FMA-UE) and/or the Modified Ashworth Scale (MAS).
In the analyses of the FMA-UE and the MAS, a moderate effect was observed, in favor of mirror therapy. No statistical significance was found with either outcome measure.
Mirror therapy may be beneficial as an adjunct to traditional inpatient care for improving motor recovery of the upper limb post-stroke.
Effective management of spasticity after stroke requires a targeted, multimodal
approach.(But you don't tell us what that protocol is to do that)
Study Design:
A meta-analysis of randomized control trials (RCTs),
including pilot RCTs, examining the effects of mirror therapy applied as an
adjunct to traditional inpatient care for upper limb recovery post-stroke.
Marissa Nicole Carranza
May 2017

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